ST9302-CL000911LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
q.-ll-oO
DATE:
FROM:
DISTRIBUTION LIST:
Jim Witt, City Manager
Peter O.Sm4 th, City Attorney
Vivyon Bowman, Director of Human
Resources
Texas Municipal League
Lawsuit File (original/copy)
~,, C~:-~,',~
COMMENTS:
suit/city.form
revised 8/19/94
09-il-D0 08:54 CITY OF 03PPELL ~ 9D725937133
hlO.576 P002
Cl-.AtM_NOTICE
_PLEASE USE BLAC~..INK ONLY
City Secr~a, cy
City ofCoppeU
PO ~ox 478 ~/'///'~-/~'/-0
This in my noti¢o of claim against the City of Coppell, The circumstances 8i~dn6 rise to this claim are aa
foUow~:
&t ~pproximataly _~_o"do~k ____._, at tl~ ~ l°~tion Of. ..... '
..~tc., if available): .,.
Thc amount ofdarna~es ~laimed is $ ~'7..f'~
(Please Print)
I do $wem th~ above is true aIM correct.
NOTE: Article 11, Se~;tion ll.Og of the Home ltule C'hm'tm'- Damage Suits. The notiliragion shadi be
filed within forty-five (45) daya at' the date of injury or dnma~ or, in tho cass o£ death, within forty-five
(as) de, yn of'the dete cie d~e~th. ~ ~lure to ~ emCi~, ¢~ City ~e~ilt the tlane n,ttc[ enlutfler lpa~i~eld ~
exonerate, excuse and exempt the City eom my liability wha~oever. No ~on at law shall be brousht
aSmnst the City until at leaat sixly (60) daya have elapaod followla~ the date of'notification,
'INVOICE
P.O. ~)X 1~
NO.
F,~X {2 l~t) :~52-3201 C ~ TELEPHONE (214) 358-6581
ED BELL CONSTRUCTION COMPANY
POST OFFICE BOX 540787 10605 HARRY HINES
DALLAS, TEXAS 75354-0787 DALLAS, TEXAS 75220
September 22, 2000
Michael Stephenson
125 Trailwood Lane
Coppell, TX 75019
Re: Corrected Insurance Information
Dear Michael:
Ed Bell Construction Company is concerned that the City of Coppell has misinformed
you regarding insurance information for your claim. They did not contact us prior to
referhng your claim. We have forwarded your claim to the correct insurance company.
You may contact them at:
Insurance:
Address:
Contact:
Phone #
National American Insurance Company
P.O. Box 38
Chandler, OK 74834
Bettina Patton
1-800-822-7802
We regret any delay and inconvenience.
Respectfully,
Nancy Johnston
Administrative Assistant
AN EQUAL OPPORTUNITY EMPLOYER
CCi
Ken Griffin, City Engineer
Clay Phillips, Deputy City Manager
Jim Witt, City Manager
Vickie Boyer, The St. Paul
Bettina Patton, National American
Ricky Main, M-Co